Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.72 / $261.14 / $749.01	Facility		$94.72	$261.14	$749.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.43 / $266.24 / $413.30	Professional		$229.43	$266.24	$413.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.92 / $208.92 / $261.14	Facility		$208.92	$208.92	$261.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.58 / $233.78 / $233.78	Professional		$221.58	$233.78	$233.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $246.20 / $246.20 / $258.51	Facility		$246.20	$246.20	$258.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $246.20 / $246.20 / $246.20	Professional		$246.20	$246.20	$246.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.49 / $269.49 / $269.49	Facility		$269.49	$269.49	$269.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.49 / $269.49 / $269.49	Professional		$269.49	$269.49	$269.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $246.36 / $319.00 / $554.30	Facility		$246.36	$319.00	$554.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $259.74 / $259.74 / $337.51	Professional		$259.74	$259.74	$337.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.65 / $252.65 / $252.65	Facility		$252.65	$252.65	$252.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.65 / $252.65 / $261.14	Professional		$252.65	$252.65	$261.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $269.49 / $555.00 / $74,999.25	Facility		$269.49	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $216.09 / $269.49 / $349.11	Professional		$216.09	$269.49	$349.11
United Facility/Professional Professional Modifier Low / Median / High Price $240.62 / $283.93 / $349.81	Professional		$240.62	$283.93	$349.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $252.65 / $252.65 / $252.65	Facility		$252.65	$252.65	$252.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $252.65 / $252.65 / $261.14	Professional		$252.65	$252.65	$261.14